IR JAJAD KAOKAB, TN Lab Parahita Diagnostik

ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm

Test Date: 11/05/2022 09:59:19

Patient info Trends Staff

Born: 03/07/1969 [bpm, mmHg] [W (MET)] Attending doctor: dr. MOH. SOETOMO, SpJP
Age: 52 200 [mV] 25 Technician:
Sex: Male
Weight: 76 kg 180 0.4
Height: 170 cm 0.3 20
Test info
Smoker: 160
Pacemaker: Test date: 11/05/2022
140 0.2 Test time: 09:59
120 0.1 15 Stress device: Btl Manual Treadmill Emulator
Protocol Bruce
Medical history 100 0
Total duration: 09:44
80 -0.1 10
Stress achieved: 6.7km/h, 16.0% (~13.4MET) =
-0.2
139% predicted (~10.2MET) - for 45
60 sec
40 -0.3 5
HR rest: 65
20 -0.4 HR peak: 159 = 95% predicted (167) --- 09:45
Exercise (13.4MET)
0 0
Handgrip test: ---
1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 [min] BP rest: 120/80
Conclusion BP peak: 150/80 --- 09:45 Exercise
(13.4MET)
Reference ECG: normal, Functional capacity: normal , HR response to exercise: appropriate, BP response to BP recovery: 125/80
exercise: normal resting BP - appropriate response, Chest pain: none, Arrhythmias: none, ST Changes:
Depression upsloping, Overall impression: Normal stress test DP rest: 7800
NORMAL EXERCISE TEST AT 11.2 METS DP peak: 23316 = 3.0x DP at rest
GOOD CARDIORESPIRATORY FITNESS
Medications ST depression max: aVL -0.58mV 08:38 Exercise
10.1MET
ST elevation max: III 0.58mV 09:02 Exercise 13.4MET
ST/HR index: 4.7 μV/bpm (abnormal)

Reason for admission

Reason for Stop

Target HR reached, Patient fatigue

Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 1
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Time: P 00:12 - Reference Load: 1.4MET, HR: 65bpm, BP: 120/80

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6

Filter: 0.07 Spline - 90 Adapt, ~50 [Hz] 25.00 mm/sec 10.0 mm/mV

Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 2
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Time: E 02:55 - E1 Load: 4.6MET, HR: 105bpm, BP: 130/80

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6

Filter: 0.07 Spline - 90 Adapt, ~50 [Hz] 25.00 mm/sec 10.0 mm/mV

Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 3
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Time: E 05:55 - E2 Load: 7.0MET, HR: 133bpm, BP: 135/80

II

III
aVR

aVL

aVF

V1

V2

V3

V4

V5

V6

Filter: 0.07 Spline - 90 Adapt, ~50 [Hz] 25.00 mm/sec 10.0 mm/mV

Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 4
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Time: E 08:55 - E3 Load: 10.1MET, HR: 154bpm, BP: 150/80

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6

Filter: 0.07 Spline - 90 Adapt, ~50 [Hz] 25.00 mm/sec 10.0 mm/mV

Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 5
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Time: E 09:40 - Peak Load: 13.4MET, HR: 159bpm, BP: 150/80

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6

Filter: 0.07 Spline - 90 Adapt, ~50 [Hz] 25.00 mm/sec 10.0 mm/mV

Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 6
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Time: R 00:10 - Recovery Load: 1.4MET, HR: 154bpm, BP: 145/80

II

III
aVR

aVL

aVF

V1

V2

V3

V4

V5

V6

Filter: 0.07 Spline - 90 Adapt, ~50 [Hz] 25.00 mm/sec 10.0 mm/mV

Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 7
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Time: R 00:55 - Recovery Load: 1.4MET, HR: 137bpm, BP: 145/80

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6

Filter: 0.07 Spline - 90 Adapt, ~50 [Hz] 25.00 mm/sec 10.0 mm/mV

Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 8
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Load: 1.4MET Load: 4.6MET Load: 7.0MET Load: 10.1MET Load: 13.4MET Load: 1.4MET
HR: 65bpm HR: 107bpm HR: 133bpm HR: 154bpm HR: 159bpm HR: 154bpm
BP: 120/80 BP: 130/80 BP: 135/80 BP: 150/80 BP: 150/80 BP: 145/80
Phase: P 00:17 Phase: E 03:00 Phase: E 05:59 Phase: E 08:38 Phase: E 09:44 Phase: R 00:19
Stage: Reference Stage: E 1 stage Stage: E 2 stage Stage: E 3 stage Stage: E 4 peak Stage: Recovery

STL: 0.04mV STL: -0.02mV STL: 0.02mV STL: -0.10mV STL: 0.02mV STL: 0.10mV
STS: -0.31mV/s STS: -1.06mV/s STS: 0.44mV/s STS: 1.17mV/s STS: 6.87mV/s STS: 7.69mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
I I I I I I

STL: 0.19mV STL: 0.07mV STL: 0.00mV STL: 0.31mV STL: -0.10mV STL: 0.00mV
STS: 0.44mV/s STS: 0.22mV/s STS: 2.25mV/s STS: 11.76mV/s STS: 1.01mV/s STS: 5.62mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
II II II II II II

STL: 0.15mV STL: 0.09mV STL: -0.02mV STL: 0.44mV STL: -0.11mV STL: -0.06mV
STS: 0.67mV/s STS: 0.76mV/s STS: 1.75mV/s STS: 11.76mV/s STS: 0.04mV/s STS: 3.20mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
III III III III III III

STL: -0.12mV STL: -0.03mV STL: -0.01mV STL: -0.09mV STL: 0.08mV STL: 0.02mV
STS: -0.86mV/s STS: -2.88mV/s STS: -2.10mV/s STS: -7.69mV/s STS: -1.17mV/s STS: -4.91mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
aVR aVR aVR aVR aVR aVR

STL: -0.05mV STL: -0.05mV STL: 0.02mV STL: -0.58mV STL: 0.01mV STL: 0.04mV
STS: -0.91mV/s STS: -1.06mV/s STS: -1.27mV/s STS: -17.79mV/s STS: -2.02mV/s STS: 0.09mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
aVL aVL aVL aVL aVL aVL

STL: 0.17mV STL: 0.08mV STL: -0.01mV STL: 0.39mV STL: -0.09mV STL: -0.04mV
STS: 0.62mV/s STS: 0.81mV/s STS: 2.02mV/s STS: 12.86mV/s STS: 1.27mV/s STS: 4.16mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
aVF aVF aVF aVF aVF aVF

25 mm/sec 10 mm/mV
Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 9
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Load: 1.4MET Load: 4.6MET Load: 7.0MET Load: 10.1MET Load: 13.4MET Load: 1.4MET
HR: 65bpm HR: 107bpm HR: 133bpm HR: 154bpm HR: 159bpm HR: 154bpm
BP: 120/80 BP: 130/80 BP: 135/80 BP: 150/80 BP: 150/80 BP: 145/80
Phase: P 00:17 Phase: E 03:00 Phase: E 05:59 Phase: E 08:38 Phase: E 09:44 Phase: R 00:19
Stage: Reference Stage: E 1 stage Stage: E 2 stage Stage: E 3 stage Stage: E 4 peak Stage: Recovery

STL: 0.04mV STL: 0.00mV STL: -0.01mV STL: -0.02mV STL: -0.06mV STL: -0.01mV
STS: -0.17mV/s STS: -0.72mV/s STS: -0.26mV/s STS: 3.32mV/s STS: 0.58mV/s STS: -0.26mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
V1 V1 V1 V1 V1 V1

STL: 0.18mV STL: 0.04mV STL: -0.04mV STL: -0.16mV STL: -0.14mV STL: -0.08mV
STS: -0.04mV/s STS: 0.31mV/s STS: 1.62mV/s STS: -2.68mV/s STS: 1.17mV/s STS: 3.32mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
V2 V2 V2 V2 V2 V2

STL: 0.22mV STL: 0.09mV STL: -0.04mV STL: -0.17mV STL: -0.22mV STL: -0.07mV
STS: 0.04mV/s STS: 0.81mV/s STS: 2.59mV/s STS: -0.76mV/s STS: -0.53mV/s STS: 5.13mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
V3 V3 V3 V3 V3 V3

STL: 0.21mV STL: 0.06mV STL: -0.05mV STL: -0.23mV STL: -0.11mV STL: -0.13mV
STS: -0.22mV/s STS: 0.81mV/s STS: 2.17mV/s STS: -1.17mV/s STS: 4.51mV/s STS: 2.98mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
V4 V4 V4 V4 V4 V4

STL: 0.17mV STL: 0.05mV STL: -0.02mV STL: -0.07mV STL: -0.08mV STL: -0.08mV
STS: 0.17mV/s STS: 0.81mV/s STS: 2.25mV/s STS: -1.33mV/s STS: 3.57mV/s STS: 4.33mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
V5 V5 V5 V5 V5 V5

STL: 0.13mV STL: 0.05mV STL: 0.02mV STL: -0.07mV STL: -0.02mV STL: -0.01mV
STS: 0.26mV/s STS: 0.49mV/s STS: 1.95mV/s STS: -3.09mV/s STS: 1.69mV/s STS: 3.09mV/s
J+: 100ms J+: 70ms J+: 56ms J+: 49ms J+: 47ms J+: 30ms
V6 V6 V6 V6 V6 V6

25 mm/sec 10 mm/mV
Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 10
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Load: 1.4MET
HR: 137bpm
BP: 145/80
Phase: R 01:05
Stage: Recovery

STL: -0.05mV
STS: 1.69mV/s
J+: 30ms
I

STL: -0.02mV
STS: 6.51mV/s
J+: 30ms
II

STL: 0.03mV
STS: 6.19mV/s
J+: 30ms
III

STL: 0.04mV
STS: -4.33mV/s
J+: 30ms
aVR

STL: 0.03mV
STS: -1.62mV/s
J+: 30ms
aVL

STL: 0.02mV
STS: 5.62mV/s
J+: 30ms
aVF

25 mm/sec 10 mm/mV
Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 11
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Load: 1.4MET
HR: 137bpm
BP: 145/80
Phase: R 01:05
Stage: Recovery

STL: 0.02mV
STS: -0.31mV/s
J+: 30ms
V1

STL: -0.04mV
STS: 2.33mV/s
J+: 30ms
V2

STL: -0.05mV
STS: 3.32mV/s
J+: 30ms
V3

STL: -0.07mV
STS: 3.32mV/s
J+: 30ms
V4

STL: -0.02mV
STS: 2.98mV/s
J+: 30ms
V5

STL: 0.01mV
STS: 2.68mV/s
J+: 30ms
V6

25 mm/sec 10 mm/mV
Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 12
031-5032676
 IR JAJAD KAOKAB, TN Lab Parahita Diagnostik
ID: 0222QK0023, Born: 03/07/1969 (Male 52), 76 kg, 170 cm
Test Date: 11/05/2022 09:59:19

Load HR BP SpO2 ST Level [ mV ], J+: 100ms User edited J position

Stage Time
km/h % MET bpm mmhg % I II III aVR aVL aVF V1 V2 V3 V4 V5 V6
Reference E 00:03 0.8 0.0 1.4 65 120/80 - 0.04 0.19 0.15 -0.12 -0.05 0.17 0.04 0.18 0.22 0.21 0.17 0.13

E 1 stage E 03:00 2.7 10.0 4.6 107 130/80 - -0.02 0.07 0.09 -0.03 -0.05 0.08 0.00 0.04 0.09 0.06 0.05 0.05

E 2 stage E 06:00 4.0 12.0 7.0 133 135/80 - 0.02 0.00 -0.02 -0.01 0.02 -0.01 -0.01 -0.04 -0.04 -0.05 -0.02 0.02

E 3 stage E 09:00 5.4 14.0 10.1 154 150/80 - -0.10 0.31 0.44 -0.09 -0.58 0.39 -0.02 -0.16 -0.17 -0.23 -0.07 -0.07

E 4 peak E 09:45 6.7 16.0 13.4 159 150/80 - 0.02 -0.10 -0.11 0.08 0.01 -0.09 -0.06 -0.14 -0.22 -0.11 -0.08 -0.02

Recovery R 00:20 0.8 0.0 1.4 154 145/80 - 0.10 0.00 -0.06 0.02 0.04 -0.04 -0.01 -0.08 -0.07 -0.13 -0.08 -0.01

Recovery R 01:05 0.8 0.0 1.4 137 145/80 - -0.05 -0.02 0.03 0.04 0.03 0.02 0.02 -0.04 -0.05 -0.07 -0.02 0.01

Parahita Diagnostik Center, Jl. Dharmawangsa No.66, Surabaya, Indonesia, Phone: BTL CardioPoint 2.28.30690.1, DIAG: 2.0.1.17; ECG: BTL-08 ECG, SN: 071D0B007849 BTL CardioPoint - Stress Test Page: 13
031-5032676